Daruich A, Martin D, Bremond-Gignac D
Ophthalmology department, hôpital universitaire Necker-Enfants Malades, AP-HP université de Paris, 149, rue de Sèvres, 75015 Paris, France; INSERM, UMRS1138, Team 17, From physiopathology of ocular diseases to clinical development, université Sorbonne Paris Cité, Centre de recherche des cordeliers, 15, rue de l'école de médecine, Paris, France.
Instituto de ojos y oídos, avenida Belgrano 647, Resistencia, Chaco, Argentina.
J Fr Ophtalmol. 2020 May;43(5):389-391. doi: 10.1016/j.jfo.2020.04.002. Epub 2020 Apr 17.
We report here the case of a 27-year-old man who consulted by telemedicine during the Coronavirus disease 2019 (COVID-19) pandemic, due to foreign body sensation and left eye redness. Examination revealed unilateral eyelid edema and moderate conjunctival hyperemia. A few hours later, the patient experienced intense headache and developed fever, cough and severe dyspnea. A nasopharyngeal swab proved positive for SARS-CoV-2. This case demonstrates that conjunctivitis can be the inaugural manifestation of the COVID-19 infection. It illustrates the interest of telemedicine in ophthalmology during the COVID-19 pandemic, since moderate conjunctival hyperemia can be the first sign of a severe respiratory distress.
我们在此报告一例27岁男性病例，该患者在2019年冠状病毒病（COVID-19）大流行期间因异物感和左眼发红通过远程医疗进行咨询。检查发现单侧眼睑水肿和中度结膜充血。几小时后，患者出现剧烈头痛，并出现发热、咳嗽和严重呼吸困难。鼻咽拭子检测显示严重急性呼吸综合征冠状病毒2（SARS-CoV-2）呈阳性。该病例表明结膜炎可能是COVID-19感染的首发表现。它说明了在COVID-19大流行期间远程医疗在眼科中的作用，因为中度结膜充血可能是严重呼吸窘迫的首个迹象。
